This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.2.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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: DeathCertificate Example1 - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "DeathCertificate-Example1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"DeathCertificate-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition &quot;DeathCertificate-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-certificate.html\">Death Certificate</a></p></div><p><b>Filing Format</b>: Electronic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-filing-format-cs.html\">Filing Formats CodeSystem</a>#electronic)</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: original record <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-replace-status-cs.html\">Replacement Status of Death Record Submission</a>#original)</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: final</p><p><b>type</b>: Death certificate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#64297-5)</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>legal</td><td>2020-11-14 16:39:40-0500</td><td><a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td>103693007 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103693007)</span></td><td><a href=\"Procedure-DeathCertification-Example1.html\">Procedure/DeathCertification-Example1</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
            "code" : "electronic"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
            "code" : "original"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
      "valueString" : "State Specific Content"
    }
  ],
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "64297-5",
        "display" : "Death certificate"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/Decedent-Example1"
  },
  "date" : "2020-11-15T16:39:54-05:00",
  "author" : [
    {
      "reference" : "Practitioner/Certifier-Example1"
    }
  ],
  "title" : "Death Certificate",
  "attester" : [
    {
      "mode" : "legal",
      "time" : "2020-11-14T16:39:40-05:00",
      "party" : {
        "reference" : "Practitioner/Certifier-Example1"
      }
    }
  ],
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "103693007"
            }
          ]
        }
      ],
      "detail" : [
        {
          "reference" : "Procedure/DeathCertification-Example1"
        }
      ]
    }
  ],
  "section" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DecedentDemographics"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "Patient/Decedent-Example1"
        },
        {
          "reference" : "RelatedPerson/DecedentFather-Example1"
        },
        {
          "reference" : "RelatedPerson/DecedentMother-Example1"
        },
        {
          "reference" : "RelatedPerson/DecedentSpouse-Example1"
        },
        {
          "reference" : "Observation/DecedentAge-Example1"
        },
        {
          "reference" : "Observation/BirthRecordIdentifier-Example1"
        },
        {
          "reference" : "Observation/DecedentEducationLevel-Example1"
        },
        {
          "reference" : "Observation/DecedentMilitaryService-Example1"
        },
        {
          "reference" : "Observation/DecedentUsualWork-Example1"
        },
        {
          "reference" : "Observation/InputRaceAndEthnicity-Example1"
        },
        {
          "reference" : "Observation/EmergingIssues-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DeathInvestigation"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "Observation/ExaminerContacted-Example1"
        },
        {
          "reference" : "Observation/DecedentPregnancyStatus-Example1"
        },
        {
          "reference" : "Observation/TobaccoUseContributedToDeath-Example1"
        },
        {
          "reference" : "Observation/AutopsyPerformedIndicator-Example1"
        },
        {
          "reference" : "Location/DeathLocation-Example1"
        },
        {
          "reference" : "Location/InjuryLocation-Example1"
        },
        {
          "reference" : "Observation/InjuryIncident-Example1"
        },
        {
          "reference" : "Observation/DeathDate-Example1"
        },
        {
          "reference" : "Observation/SurgeryDate-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DeathCertification"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "Practitioner/Certifier-Example1"
        },
        {
          "reference" : "Procedure/DeathCertification-Example1"
        },
        {
          "reference" : "Observation/MannerOfDeath-Example1"
        },
        {
          "reference" : "Observation/CauseOfDeathPart1-Example1"
        },
        {
          "reference" : "Observation/CauseOfDeathPart1-Example2"
        },
        {
          "reference" : "Observation/CauseOfDeathPart2-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DecedentDisposition"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "Location/DispositionLocation-Example1"
        },
        {
          "reference" : "Organization/FuneralHome-Example1"
        },
        {
          "reference" : "Observation/DecedentDispositionMethod-Example1"
        },
        {
          "reference" : "Practitioner/Mortician-Example1"
        }
      ]
    }
  ]
}